Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $43.60 / $149.44	Facility		$6.90	$43.60	$149.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $24.78 / $27.21	Professional		$10.09	$24.78	$27.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $51.70 / $83.30	Facility		$24.50	$51.70	$83.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $24.50	Facility		$23.11	$23.11	$24.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $21.72 / $29.40	Professional		$20.83	$21.72	$29.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $24.50 / $24.78	Facility		$6.92	$24.50	$24.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $24.50 / $31.36	Facility		$22.83	$24.50	$31.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $24.50 / $31.36	Professional		$22.83	$24.50	$31.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $24.50 / $24.50	Professional		$21.72	$24.50	$24.50